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All Journal Science Midwifery Cerdika: Jurnal Ilmiah Indonesia
Budiantono, Budiantono
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Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Nursing Public Health Social Sciences Veterinary

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Readiness analysis of electronic medical record implementation in inpatient services using the DOQ-IT Method at Pusri Hospital Palembang Budiantono, Budiantono; Widiyanto, Wahyu Wijaya
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1899

Abstract

This study explored how ready Pusri Hospital Palembang was to implement electronic medical records in its inpatient services, using the Doctor’s Office Quality – Information Technology (DOQ-IT) framework. Using a quantitative, cross-sectional approach, data were gathered from 43 health workers and administrative staff through validated questionnaires. The assessment focused on four key areas: readiness of human resources, organizational work culture, governance and leadership, and the hospital’s technology infrastructure. Results showed that while infrastructure and governance were relatively ready, the readiness of staff and the work culture still needed improvement. Statistical analysis confirmed that all four factors significantly influenced the hospital’s overall readiness to adopt electronic medical records. Although the hospital demonstrated moderate readiness, the findings highlight the need for enhanced training and better infrastructure planning to ensure a smoother digital transition. This study offers practical insights for hospital leaders and health policymakers aiming to advance digital transformation in healthcare settings.
Tinjauan Ketepatan Penggunaan Simbol dan Singkatan pada Ringkasan Pulang di Rumah Sakit Pusri Palembang Budiantono, Budiantono; Miliana, Elta; Sonia, Dina
Cerdika: Jurnal Ilmiah Indonesia Vol. 1 No. 12 (2021): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v1i12.256

Abstract

Latar Belakang: Simbol dan singkatan yang termasuk dalam standar SNARS Edition 1.1 terdapat di kelompok standar manajemen rumah sakit yaitu Manajemen Informasi Rekam Medis (MIRM 12). Tujuan: Tujuan penelitian yaitu mengidentifikasi ketepatan penggunaan simbol dan singkatan pada ringkasan pulang. Metode: Metode penelitian yaitu deskriptif restrospektif. Populasi dalam penelitian yaitu dokumen rekam medis rawat inap pada ringkasan pulang di Rumah Sakit Pusri Palembang  pada bulan Juni 2021. Besar sampel yaitu 153 berkas rekam medis pada ringkasan pulang dengan menggunakan rumus slovin. Instrumen penelitian menggunakan checklist dengan metode observasi dan dokumentasi. Hasil: Rumah Sakit Pusri Palembang sudah memiliki pedoman penulisan simbol dan singkatan namun dalam pelaksanaannya masih terdapat penggunaan simbol dan singkatan yang tidak tepat dan tidak ada didalam buku pedoman dan SPO simbol singkatan. Kesimpulan: Berdasarkan hasil observasi dan dokumentasi bahwa singkatan yang tidak tepat 11 %, tidak ada di buku pedoman 13 %, presentasi singkatan yang tepat 76%. Sedangkan simbol yang tidak ada didalam buku pedoman 58 %, presentasi simbol yang tepat 42%.
Co-Authors Dina Sonia Miliana, Elta Widiyanto, Wahyu Wijaya